Referral Coordinator Patient Access Services Glendale

Glendale, AZ 85303, United States

Job Description

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Why Work For

Mountain Park Health Center?

As a member of the Mountain Park team, you will have the opportunity to help our community thrive by improving the health of those around you.

  • You\xe2\x80\x99ll work in a supportive environment where your coworkers feel more like family. That\xe2\x80\x99s because the way we connect with each other translates to the care we provide our patients.
  • We value professional and personal goals, work/life balance and family.
  • We are committed to creating a positive work environment and provide our employees with support and experience to grow and be successful.

SUMMARY

The Referral Coordinator is responsible for following referral procedure guidelines, obtaining prior authorization as needed by health plans, processing referrals and scheduling appointments to specialists for patients per provider requests of Mountain Park Health Center (MPHC).
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following.
  • All referrals are processed in a timely and efficient manner and according to the referral procedure guidelines. Insurance verification is confirmed prior to processing the referral
  • According to guidelines/primary care provider requests, provides appropriate clinical information to specialists in order for referrals to be processed
  • All STAT and ASAP referrals are processed within one business day. Routine referrals should be processed within 3 business days, routine screening consults within 5 business days
  • Patients are notified verbally and given/sent written confirmation regarding their appointment time, location, special instructions.
  • Maintains referrals tracking system and up to date referrals documentation
  • Follow up on prior authorizations is performed at least weekly and notes made in the referral notes section
  • Statistics of all referrals processed are reported as directed to the Operations Director/manager of the department
  • For referrals not requiring prior authorization, and if patient is at a provider visit, every attempt is made to process the referral(s) while the patient is here
  • Performs other duties as assigned.
  • Must be able to embrace differences among people and able to interact with internal staff as well as external contacts in a culturally competent and respectful manner.

ADDITIONAL RESPONSIBILITIES
  • Promotes positive patient/guest relation in accordance with MPHC policies, providing a high level of quality in personal attention and service to patients and visitors.
  • Complies with MPHC Safety Policies and Procedures. Ensures compliance with governmental licensing and regulatory requirements where applicable. Conducts annual review of and complete/suggest on-going revisions of the Policies and Procedures specific to his/her department. Maintains familiarity with and abide by all established facility and departmental policies and procedures, noting changes when they are published/posted. Conducts himself/herself in a manner consistent with the Mission Statement and Values of MPHC.
  • Observes and respects the confidentiality of information in regard to patients, visitors and co-workers employees including salary information, if exposed to any of the above referenced information in the course of his/her job function.
  • Dresses according to MPHC\xe2\x80\x99s dress code policy and procedure, as well as, complies with specific departmental regulations pertaining to employee appearance.
  • Demonstrates an understanding of facility organizational structure by utilization of appropriate channels of communication. Maintain consistent, timely communication regarding all facets of departmental activities with his/her co-workers, therefore, demonstrating good customer service skills with both external and internal customers.

QUALIFICATIONS


EDUCATION and/or EXPERIENCE

High school diploma or general education degree (GED) Previous referral experience preferred

LANGUAGE SKILLS

Ability to read and interpret documents such as safety rules, operating and maintenance instructions. And procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups or customers or employees of organization.

MATHEMATICAL SKILLS

Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry.

WORK ENVIRONMENT

The noise level in the work environment is usually moderate.

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Job Detail

  • Job Id
    JD4251030
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    Glendale, AZ 85303, United States
  • Education
    Not mentioned